Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $7,943.28 / $7,943.28	Facility		$1,148.15	$7,943.28	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $794.33 / $1,148.15	Professional		$489.78	$794.33	$1,148.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $1,659.59	Facility		$1,659.59	$1,659.59	$1,659.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $1,548.82 / $2,290.87	Professional		$602.56	$1,548.82	$2,290.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,479.11 / $1,949.84	Professional		$1,148.15	$1,479.11	$1,949.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $1,071.52 / $1,905.46	Facility		$676.08	$1,071.52	$1,905.46
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $812.83 / $1,318.26	Professional		$489.78	$812.83	$1,318.26
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,548.82 / $1,621.81	Facility		$1,096.48	$1,548.82	$1,621.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $1,023.29 / $1,819.70	Facility		$630.96	$1,023.29	$1,819.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $87.10 / $2,089.30	Professional		$70.79	$87.10	$2,089.30
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,659.59 / $2,137.96	Professional		$1,445.44	$1,659.59	$2,137.96
United Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $7,585.78 / $31,622.78	Facility		$1,412.54	$7,585.78	$31,622.78
United Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,380.38 / $1,995.26	Professional		$891.25	$1,380.38	$1,995.26